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Published on: December 18, 2016
Temporal lobe malformations, focal epilepsy, and FGFR3 mutations: a non-causal association?
Pia Bernardo1,2,3, Mauro Budetta4, Ferdinando Aliberti5
1Department of Neurosciences and Neurosurgery, Santobono-Pausilipon Children's Hospital, Naples, Italy. pia.bernardo84@gmail.com.
Abstract:
Temporal lobe abnormalities and focal epilepsy have been documented in FGFR3-related clinical condition, including hypochondroplasia and Muenke syndrome. FGFR3 is expressed in the brain during development and could play a role in nervous system development and hippocampal formation. These observations suggest a non-casual association between temporal malformation, epilepsy, and FGFR3 mutations. Herein, we report clinical, electroclinical, and neuroimaging findings of three additional cases of focal epilepsy and temporal lobe malformations occurring in children with FGFR3 gene mutations.
Insights
Fibroblast growth factor receptor 3 (FGFR3) gene mutations are linked to temporal lobe abnormalities and epilepsy. This study presents three new cases, reinforcing the association between FGFR3 and neurological conditions.
Area of Science:
- Neuroscience
- Genetics
- Pediatrics
Background:
- Fibroblast growth factor receptor 3 (FGFR3) mutations are associated with conditions like hypochondroplasia and Muenke syndrome.
- FGFR3 expression in the developing brain suggests a role in nervous system and hippocampal formation.
- Prior observations indicate a potential link between temporal lobe malformations, epilepsy, and FGFR3 mutations.
Purpose of the Study:
- To investigate the association between FGFR3 gene mutations and focal epilepsy with temporal lobe malformations.
- To report clinical, electroclinical, and neuroimaging findings in children with these conditions.
Main Methods:
- Case series reporting.
- Clinical evaluation.
- Electroencephalography (EEG) analysis.
- Neuroimaging (MRI) review.
Main Results:
- Three pediatric cases with focal epilepsy and temporal lobe malformations were identified.
- All cases were confirmed to have FGFR3 gene mutations.
- Clinical, electroclinical, and neuroimaging data were analyzed.
Conclusions:
- The findings support a non-casual association between FGFR3 mutations, temporal lobe abnormalities, and focal epilepsy.
- FGFR3-related disorders may present with significant neurological manifestations.
- Further research is warranted to elucidate the underlying mechanisms.
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